Hensley, Susan

Hensley, Susan was paid $59K by Medicaid between Mar 2019 and Oct 2024, across 11 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 49% of everything it billed.

33Billing provider infoHENSLEY, SUSAN
HOHENWALD, TN 38462

33aNPI1194217547assigned 06/01/2018

33bProvider typeAdvanced Practice Midwife

28Total paid$59K

24GClaims1,678

24DCodes billed11

24AFirst – last monthMar 2019 – Oct 2024

Compared with peers

Next to other Advanced Practice Midwife providers in Tennessee

Rank by total paid#3 of 18

Median peer was paid$4K

This provider vs. median16×

Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.

Box 24A · Dates of service

Paid by month

Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider

By year, as a table

Year	Claims	Paid
2019	548	$13K
2020	180	$5K
2021	443	$19K
2022	297	$13K
2023	179	$8K
2024incomplete	31	$1K

Box 24 · Service lines

What it billed for

Code	Service	Share	Claims	Bene. records	Paid
99214	Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity	49%	562	476	$29K
99213	Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity	31%	561	480	$19K
99203	Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity	7.9%	89	77	$5K
87426	Infectious agent antigen detection, SARS-CoV-2 (COVID-19)	5.8%	112	104	$3K
99204	Doctor's office visit, new patient (more involved)Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity	4.4%	30	23	$3K
81002		<1%	146	107	$266.09
87804	Infectious agent antigen detection by immunoassay; Influenza, each type	<1%	30	26	$169.75
81025		<1%	31	20	$135.31
36415	Collection of venous blood by venipuncture	<1%	88	70	$126.03
87880	Infectious agent antigen detection by immunoassay; Streptococcus, group A	<1%	17	13	$49.95
81003		<1%	12	12	$17.07

Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.